Tags

Type your tag names separated by a space and hit enter

Mild anemia and the risk of falls in older adults from nursing homes and the community.
J Am Med Dir Assoc. 2004 Nov-Dec; 5(6):395-400.JA

Abstract

OBJECTIVES

The objectives of this study were to determine if a relationship exists between a history of falls and anemia in older adults and to compare the findings by place of residence.

DESIGN

The authors conducted a retrospective and observational study.

PARTICIPANTS

One hundred forty-five adults (60-97 years of age) from nursing homes and the community hospitalized for hip fracture over a 2-year period were included in this study.

MEASUREMENTS

Laboratory values (hemoglobin [Hb], hematocrit [Hct]), medical history, and demographics were measured.

RESULTS

Falls occurred similarly in both nursing home patients and community patients (19% vs. 17%, P=0.785). Nursing home and community patients also had similar Hb (P=0.0899), Hct (P=0.1929), and rates of anemia (P=0.187). Nursing home residents were older (P=0.0188) and had lower serum albumin levels (P=0.0007) than community patients. When the two groups were combined, falls were more common in anemic individuals (30% vs. 13%; P=0.028). Furthermore, those with a history of falls were older (P=0.0447), had lower Hb (P=0.0257) and Hct levels (P=0.0310). After controlling for age, gender, place of residence, and arthritis in a logistic regression model, anemia predicted a threefold increased risk of falls (P=0.041), and a 45% decreased risk of falls was predicted for every 1.0-g/dL increase in Hb (P=0.005). Falls risk increased 7% per year of age (P=0.040), whereas musculoskeletal disease increased the falls risk 3.2-fold, both increases being independent of Hb levels or anemia. Finally, falls were not associated with gender or other comorbidity, nor did these variables alter the falls risk attributed to low Hb or anemia.

CONCLUSIONS

These findings suggest a new and potentially important link between anemia and the risk of falls in patients sustaining hip fractures from both nursing homes and the community. Further studies will help determine if this risk is modified or eliminated with treatment of anemia and if the relationship applies to larger samples of older adults in different settings.

Authors+Show Affiliations

Department of Medicine and Medical Research, Our Lady of Mercy Medical Center, Bronx, NY 10466, USA. dharmarajants@yahoo.comNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15530178

Citation

Dharmarajan, T S., and Edward P. Norkus. "Mild Anemia and the Risk of Falls in Older Adults From Nursing Homes and the Community." Journal of the American Medical Directors Association, vol. 5, no. 6, 2004, pp. 395-400.
Dharmarajan TS, Norkus EP. Mild anemia and the risk of falls in older adults from nursing homes and the community. J Am Med Dir Assoc. 2004;5(6):395-400.
Dharmarajan, T. S., & Norkus, E. P. (2004). Mild anemia and the risk of falls in older adults from nursing homes and the community. Journal of the American Medical Directors Association, 5(6), 395-400.
Dharmarajan TS, Norkus EP. Mild Anemia and the Risk of Falls in Older Adults From Nursing Homes and the Community. J Am Med Dir Assoc. 2004 Nov-Dec;5(6):395-400. PubMed PMID: 15530178.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mild anemia and the risk of falls in older adults from nursing homes and the community. AU - Dharmarajan,T S, AU - Norkus,Edward P, PY - 2004/11/9/pubmed PY - 2004/12/24/medline PY - 2004/11/9/entrez SP - 395 EP - 400 JF - Journal of the American Medical Directors Association JO - J Am Med Dir Assoc VL - 5 IS - 6 N2 - OBJECTIVES: The objectives of this study were to determine if a relationship exists between a history of falls and anemia in older adults and to compare the findings by place of residence. DESIGN: The authors conducted a retrospective and observational study. PARTICIPANTS: One hundred forty-five adults (60-97 years of age) from nursing homes and the community hospitalized for hip fracture over a 2-year period were included in this study. MEASUREMENTS: Laboratory values (hemoglobin [Hb], hematocrit [Hct]), medical history, and demographics were measured. RESULTS: Falls occurred similarly in both nursing home patients and community patients (19% vs. 17%, P=0.785). Nursing home and community patients also had similar Hb (P=0.0899), Hct (P=0.1929), and rates of anemia (P=0.187). Nursing home residents were older (P=0.0188) and had lower serum albumin levels (P=0.0007) than community patients. When the two groups were combined, falls were more common in anemic individuals (30% vs. 13%; P=0.028). Furthermore, those with a history of falls were older (P=0.0447), had lower Hb (P=0.0257) and Hct levels (P=0.0310). After controlling for age, gender, place of residence, and arthritis in a logistic regression model, anemia predicted a threefold increased risk of falls (P=0.041), and a 45% decreased risk of falls was predicted for every 1.0-g/dL increase in Hb (P=0.005). Falls risk increased 7% per year of age (P=0.040), whereas musculoskeletal disease increased the falls risk 3.2-fold, both increases being independent of Hb levels or anemia. Finally, falls were not associated with gender or other comorbidity, nor did these variables alter the falls risk attributed to low Hb or anemia. CONCLUSIONS: These findings suggest a new and potentially important link between anemia and the risk of falls in patients sustaining hip fractures from both nursing homes and the community. Further studies will help determine if this risk is modified or eliminated with treatment of anemia and if the relationship applies to larger samples of older adults in different settings. SN - 1525-8610 UR - https://www.unboundmedicine.com/medline/citation/15530178/Mild_anemia_and_the_risk_of_falls_in_older_adults_from_nursing_homes_and_the_community_ L2 - https://linkinghub.elsevier.com/retrieve/pii/#N/A DB - PRIME DP - Unbound Medicine ER -